Kids Care Pediatrics,Pa

LBN: Kids Care Pediatrics,Pa
Kids Care Pediatrics,Pa is an health care organization with primary practice located at 6910 Old Wolf Bay Rd , Palatka FL 32177-6800. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Kids Care Pediatrics,Pa can be contacted via phone (386) 328-7337, or through Rosenberg, Owen Mark via phone (386) 325-9811.

Contact Information

Primary practice address
6910 Old Wolf Bay Rd Palatka FL 32177-6800
Phone: (386) 328-7337
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rosenberg, Owen Mark
Phone: (386) 325-9811

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1104814185
LBN Legal business name Kids Care Pediatrics,Pa
DBA Doing business as
Authorized official Rosenberg, Owen Mark
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2005
Last updated Mar 15th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1104814185 NPPES
Florida MEDICAID 107889601
Florida Other 72696

Popular Providers